DR. TRACY MARIE BILDSTEIN (OD) – Optometrist, NPI 1194806653

DR. TRACY MARIE BILDSTEIN (OD) is a healthcare provider. based in Coralville, Iowa. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. TUV006895 (NY). The NPI Number for DR. TRACY MARIE BILDSTEIN (OD) is 1194806653

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. TRACY MARIE BILDSTEIN (OD)
NPI
1194806653
Phone
(319) 466-0644
Address
1451 CORAL RIDGE AVE
Enumeration Date
18 October 2006
Last Update Date
21 September 2016

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
3194660644
Graduation Year
2003 (23 years ago)
PAC ID
8325061575
Group Practice PAC ID
1759557085
Professional Enrollment ID
I20120111000452
Address ID
IA522411961CO2611XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,977 OPTOMETRY in NY

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Provider Addresses for DR. TRACY MARIE BILDSTEIN (OD)

  • 1451, Coral Ridge Avenue, Coralville, Johnson County, Iowa, 52241, United States

    STE 518

    CORALVILLE, IA 522412805

    Phone: (319) 466-0644

    Type: Mailing

  • Jamaica Colosseum, 164th Street, Queens, Queens County, New York, 11432, United States

    JAMAICA, NY 114321121

    Phone: (718) 883-3225

    Fax: (718) 883-6193

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $217.

Total Amount is formed as General ($217) + Research ($0) + Ownership ($0) = $217.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Alcon Vision LLC ($145).

Total Amount

$217

General + Research + Ownership

Payments

4

Total payment records

General Amount

$217

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-01-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120111000452IOptometryIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina3937$0
92014Established patient complete exam of visual system3634$0
View full utilization report →

Insurance plans in this area (ZIP 52241)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759557085View full group profile
NameSpecialtyState
O P T O M E T R YIA
O P T O M E T R YIA
O P T O M E T R YIA
O P T O M E T R YIA

Reviews

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Frequently asked questions

Does DR. TRACY MARIE BILDSTEIN (OD) have a public NPI I can cite?
Public records show DR. TRACY MARIE BILDSTEIN (OD) under NPI 1194806653.
Should I treat DR. TRACY MARIE BILDSTEIN (OD) as an active provider?
Patients and plans typically see DR. TRACY MARIE BILDSTEIN (OD) as active in the national extract.
What services align with DR. TRACY MARIE BILDSTEIN (OD)'s listing?
DR. TRACY MARIE BILDSTEIN (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. TRACY MARIE BILDSTEIN (OD)?
The directory associates DR. TRACY MARIE BILDSTEIN (OD) with Coralville, Iowa. Check all listed addresses for suites or satellite offices.
Can I export DR. TRACY MARIE BILDSTEIN (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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